Perspectives from the frontline: A pharmacy department’s response to the COVID-19 pandemic

Autor: Jason P Hecht, David M Sudekum, Curtis D. Collins, Nina West
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Psychological intervention
Pharmacists
law.invention
Electrolytes
0302 clinical medicine
organization & administration
law
Acute care
Pandemic
Antimicrobial stewardship
030212 general & internal medicine
Hospital Mortality
Aged
80 and over
0303 health sciences
Health Policy
care bundles
Middle Aged
Intensive care unit
Anti-Bacterial Agents
Intensive Care Units
Treatment Outcome
AcademicSubjects/MED00410
Drug Therapy
Combination
Female
Medical emergency
Pharmacy Service
Hospital
pharmacy
medicine.medical_specialty
Critical Care
Medical Records Systems
Computerized
Medication Therapy Management
Pharmacy
Antiviral Agents
03 medical and health sciences
Professional Role
Medication therapy management
medicine
Humans
Pandemics
Aged
Retrospective Studies
Pharmacology
030306 microbiology
business.industry
Anticoagulants
COVID-19
medicine.disease
Note
COVID-19 Drug Treatment
Regimen
antimicrobial stewardship
Interdisciplinary Communication
business
Zdroj: American Journal of Health-System Pharmacy
American Journal of Health-System Pharmacy: AJHP
ISSN: 1535-2900
1079-2082
DOI: 10.1093/ajhp/zxaa176
Popis: Purpose The global coronavirus disease 2019 (COVID-19) pandemic has created unprecedented strains on healthcare systems around the world. Challenges surrounding an overwhelming influx of patients with COVID-19 and changes in care dynamics prompt the need for care models and processes that optimize care in this medically complex patient population. The purpose of this report is to describe our institution’s strategy to deploy pharmacy resources and standardize pharmacy processes to optimize the management of patients with COVID-19. Methods This retrospective, descriptive report characterizes documented pharmacy interventions in the acute care of patients admitted for COVID-19 during the period April 1 to April 15, 2020. Patient monitoring, interprofessional communication, and intervention documentation by pharmacy staff was facilitated through the development of a COVID-19–specific care bundle integrated into the electronic medical record. Results A total of 1,572 pharmacist interventions were documented in 197 patients who received a total of 15,818 medication days of therapy during the study period. The average number of interventions per patient was 8. The most common interventions were regimen simplification (15.9%), timing and dosing adjustments (15.4%), and antimicrobial therapy and COVID-19 treatment adjustments (15.2%). Patients who were admitted to an intensive care unit care at any point during their hospital stay accounted for 66.7% of all interventions documented. Conclusion A pharmacy department’s response to the COVID-19 pandemic was optimized through standardized processes. Pharmacists intervened to address a wide scope of medication-related issues, likely contributing to improved management of COVID-19 patients. Results of our analysis demonstrate the vital role pharmacists play as members of multidisciplinary teams during times of crisis.
Databáze: OpenAIRE
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